Get Subscribers Social Security Number Aetna Individual Health Plan Attestation For Newborn Or Adopted

This guide provides a comprehensive overview of how to accurately fill out the Subscribers Social Security Number Aetna Individual Health Plan Attestation for a newborn or adopted child. By following these clear instructions, you will ensure that your form is completed correctly and submitted without issues.

Follow the steps to complete the attestation form online.

1. Press the ‘Get Form’ button to access the document and open it in the appropriate online editor.
2. Begin by filling out Section A, which requires the Subscriber's Information. Include the name of the policy holder, the Aetna Policy ID Number, and the mailing address where all correspondence will be directed. Don't forget to add an apartment number if applicable.
3. Next, if you would like bills to be sent to a different location, complete the Billing Address section with the necessary details including street number, city, state, ZIP code, and any relevant apartment number.
4. Enter the required telephone numbers including home, work, and cell. Make sure to also provide a valid email address for any future correspondence.
5. In Section B, provide detailed information about the newborn or adopted child or children. Fill in the Dependent Code, names (last, first, middle initial), Social Security Number (if available), date of birth, age, and the Primary Office ID.
6. In Section C, indicate your intention to enroll the child or children as dependents on your existing Aetna Individual Health Plan by checking the designated box.
7. Proceed to Section D and read the statements carefully. By signing, you are confirming that the listed child or children are your legal dependents and that you will provide necessary documentation for verification.
8. Finally, add your signature and today's date at the bottom of the form. Review all information to ensure it is complete and accurate before submission.
9. Once completed, you can save the form, download it, print it, or share the document as required.

Complete your documentation online today to ensure your newborn or adopted child receives the necessary coverage.